治疗性盆腔计划对女性尿失禁的身体调节计划的有效性:一项随机试验
Alison J Huang1, Margaret Chesney2, Michael Schembri3
1Department of Medicine, Department of Urology, and Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California (A.J.H.).
Annals of internal medicine
|August 26, 2024
概括
在45岁以上的女性中,盆地在减少尿失禁 (UI) 方面没有显著优于一般体力训练. 两项计划都显示出改善,但专门的干预对于这种常见的疾病并不优越.
科学领域:
- 综合医学是一个整体的医学.
- 盆腔健康 盆腔健康
- 妇女健康 妇女健康
背景情况:
- 尿失禁 (UI) 是一种普遍影响女性的疾病,尤其是45岁以上的女性.
- 盆地被提议作为一种补充治疗,但缺乏强有力的证据.
研究的目的:
- 为了比较一个为期12周的治疗性骨盆底计划的疗效与一个一般的身体修养计划来减少女性的UI.
- 评估对紧迫性,压力和混合型UI的影响.
主要方法:
- 一项随机试验涉及240名45岁以上的女性,每天服用UI.
- 干预组接受了为期12周的骨盆底或一般体力训练,包括小组和自我指导的课程.
- 用3天的空气日记来测量结果,以评估总和类型特定的UI频率.
主要成果:
- 两组都经历了整体UI频率的减少. 盆腔的平均减少为2.3次/天,而体力训练的平均减少为1.9次/天 (差异: -0.3;95% CI, -0.7至0.0).
- 在两组中,紧急类型的UI也下降了 (盆腔:1.2次/天;体力训练:1.0次/天;差异: -0.3;CI, -0.5到0.0).
- 两项计划之间的压力类型UI减少没有显著差异.
结论:
- 在改善中年和老年妇女临床上显著的尿失禁方面,一个为期12周的盆腔计划没有被发现优于一般的体力修养计划.
- 需要进一步的研究,以确定骨盆底对UI的特定益处,与其他干预措施相比.
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